Organization
GEORGIA PHYSICAL THERAPY & SPORTS MEDICINE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD R LUTH P.T. (PRESIDENT)
(770) 880-3011
Entity
Organization
Contact information
Practice address
6495 SHILOH RD, SUITE 100, ALPHARETTA, GA 30005
(770) 888-3011
Mailing address
6495 SHILOH RD, SUITE 100, ALPHARETTA, GA 30005
(770) 888-3011
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT006448
GA
Other
Enumeration date
08/16/2006
Last updated
08/22/2020
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